A list of the most recent deficiencies for Main Street Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-22 | 2023-10-06 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-08-08 | 2023-08-23 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-08-08 | 2023-08-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-08 | 2023-08-23 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-06-15 | 2023-07-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-20 | 2023-03-21 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-01-11 | 2023-01-12 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-01-11 | 2023-01-12 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-13 | 2023-01-03 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-12-13 | 2023-01-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-13 | 2023-01-03 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-12-13 | 2023-01-03 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-21 | 2023-01-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-11 | 2022-11-04 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-09-29 | 2022-11-04 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-03-31 | 2022-04-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-31 | 2022-04-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-03-31 | 2022-04-11 | N |
| Post nurse staffing information every day. | Health | 2022-03-31 | 2022-04-11 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-03-31 | 2022-04-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-31 | 2022-04-11 | N |
| Dispose of garbage and refuse properly. | Health | 2022-03-31 | 2022-04-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-31 | 2022-04-11 | N |
| Report COVID19 data to residents and families. | Health | 2022-03-31 | 2022-04-11 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-03-30 | 2022-04-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-30 | 2022-04-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-30 | 2022-04-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-30 | 2022-04-11 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-03-30 | 2022-04-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-30 | 2022-04-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-30 | 2022-04-11 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-08 | 2021-11-24 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-09-27 | 2021-11-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-02 | 2019-06-17 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-05-02 | 2019-06-17 | N |
| Provide activities to meet all resident's needs. | Health | 2019-05-02 | 2019-06-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-02 | 2019-06-17 | N |
| Dispose of garbage and refuse properly. | Health | 2019-05-02 | 2019-06-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-02 | 2019-06-17 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-04-30 | 2019-06-17 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-04-30 | 2019-06-17 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-04-30 | 2019-06-17 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-04-30 | 2019-06-17 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-04-30 | 2019-06-17 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-04-30 | 2019-06-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-04-30 | 2019-06-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-30 | 2019-06-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-30 | 2019-06-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-30 | 2019-06-17 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-04-30 | 2019-06-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-30 | 2019-06-17 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2018-04-12 | 2018-05-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-12 | 2018-05-04 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2018-04-12 | 2018-05-04 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-04-11 | 2018-05-04 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-04-11 | 2018-05-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-04-11 | 2018-05-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-11 | 2018-05-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-04-11 | 2018-05-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-04-11 | 2018-05-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-11 | 2018-05-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-04-11 | 2018-05-04 | N |
